Shetty, Avinash Kunjan

Shetty, Avinash Kunjan is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Shetty, Avinash Kunjan can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 200101134 North Carolina

Profile Details

NPI number 1669456745
LBN Legal business name Shetty, Avinash Kunjan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jan 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669456745 NPPES
Other 7687658 AETNA
Other B0392 AETNA
Other 440003777 AETNA
Other 129WG AETNA
Other 43324 AETNA
MEDICAID 5879639 AETNA
MEDICAID 89129WG AETNA
MEDICAID Q0113F AETNA
MEDICAID 2007356000 AETNA

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